Enrollment In Medicare/Medicaid Health Integrated Plans Affected By 3 Main Factors

The top three factors associated with higher dual eligible enrollment in financial alignment plans (FAI) are passive enrollment, alignment with existing state Medicaid managed long-term services and supports (MLTSS) programs, and beneficiaries’ relationships with care coordinators. Across the ten states with FAI plans, plan enrollment among eligible beneficiaries ranged from a high of 67% in Ohio to a low of 4% in New York. The participating states are California, Illinois, Massachusetts, Michigan, New York, Ohio, Rhode Island, South Carolina, Texas, and Virginia.

Researchers concluded that higher enrollment rates are dependent upon strategic passive enrollment and marketing the alignment of . . .